Provider Demographics
NPI:1003870593
Name:POCIASK, STEPHEN BRYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:BRYAN
Last Name:POCIASK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 36351
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28236-6351
Mailing Address - Country:US
Mailing Address - Phone:704-377-5772
Mailing Address - Fax:704-377-3389
Practice Address - Street 1:1665 HERLONG CT
Practice Address - Street 2:SUITE B
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1193
Practice Address - Country:US
Practice Address - Phone:877-524-1083
Practice Address - Fax:803-328-6455
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCH64954Medicare UPIN
NC2029803Medicare PIN